FORM P50 FIRST CLAIM FOR A REPAYMENT OF INCOME TAX AND/OR

UNIVERSAL SOCIAL CHARGE (USC) DURING UNEMPLOYMENT

Please read the INFORMATION NOTES overleaf BEFORE completing this form. N.B. Form P45 Parts 2 & 3 MUST accompany this claim.
Name and Address PPS Number

Employer Number

Date of Cessation of Employment D D M M Y Y Refer to your Form P45 for answers to above

ALL SECTIONS AND THE DECLARATION MUST BE COMPLETED

Details of income received by you since the date you became unemployed Insert T in appropriate box(es) below
Jobseeker’s Benefit Other Income received from the Department of Social Protection

Illness Benefit State payment type

In the case of the above, state the date this income started D D M M Y Y
Number of children included in your claim
Gross weekly amount €
Jobseeker’s Assistance (this is not a taxable source of income)

Other Income not subject to PAYE Gross amount received to date €

State the source of this income

Do you intend to resume employment in Ireland before 31 December next? Y/N

If the answer is “No”, state reason

If resuming education, state name
of school/college
Are you making this claim on the basis that you are going abroad? Y/N
If the answer is “Yes” state:
(a) country of destination

(b) intended departure date D D M M Y Y (c) duration of stay abroad

Do you intend to take up employment abroad? Y/N

Address abroad for correspondence

Refunds
If you wish to have any refund paid directly to your bank account, please supply your bank account details.
Single Euro Payments Area (SEPA)
From 1 February 2014, account numbers and sort codes have been replaced by International Bank Account Numbers
(IBAN) and Bank Identifier Codes (BIC). These numbers are generally available on your bank account statements.
Further information on SEPA can be found on www.revenue.ie.
It is not possible to make a refund directly to a foreign bank account that is not a member of SEPA.
International Bank Account Number (IBAN) (Maximum 34 characters)

Bank Identifier Code (BIC) (Maximum 11 characters)

Note: Any subsequent Revenue refunds will be made to this bank account unless otherwise notified.
I declare that I am unemployed and that all particulars given in this form are stated correctly

Signature Date: D D M M Y Y
Telephone or E-mail:
A person who knowingly makes a false statement for the purpose of obtaining repayment of income tax is liable to heavy penalties.
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 INFORMATION NOTES

Where this form is not completed in full, it may be necessary to return it to you which will delay processing
your claim.
Am I entitled to an Income Tax and/or Universal Social Charge (USC) refund?
If Income Tax and/or USC has been deducted from your pay since 1 January and you are now
unemployed you may be entitled to a refund.
When do I apply for a refund?
You should wait a minimum of four weeks from the date you became unemployed before you apply.
If you are in receipt of any taxable sources of income (which includes taxable income from the
Department of Social Protection) you should wait a minimum of eight weeks. If you were taxed on
Emergency basis you may apply immediately for a refund on becoming unemployed.
How much Income Tax and/or USC is refunded?
If you are entitled to claim a refund, the amount will depend on:
• the length of time you have been unemployed
• the amount of Income Tax and/or USC you have paid
• whether you have arrears of Income Tax and/or USC.
How do I apply?
Complete the form overleaf and send it to your local Revenue office together with:
• Form P45 (Parts 2 & 3) given to you by your last employer,
and
• where applicable, supporting documentation in respect of Income Tax and/or USC deducted
from any casual earnings or any other source of income, returned overleaf.
What happens next?
Your Revenue office will send you details of the refund (if any).

Certain amounts payable to you from the Department of Social Protection may not be liable, in full, to
income tax. In calculating your repayment, Revenue will exclude any amounts which are not taxable.
Payments from the Department of Social Protection are not chargeable to USC.
Further Information
You can get further information by phoning your Regional PAYE LoCall Service whose number is
listed below:
• Border Midlands West Region 1890 777 425
Cavan, Donegal, Galway, Leitrim,
Longford, Louth, Mayo, Monaghan, Offaly,
Roscommon, Sligo, Westmeath
• Dublin Region 1890 333 425
Dublin (City and County)
• East & South East Region 1890 444 425
Carlow, Kildare, Kilkenny, Laois,
Meath, Tipperary, Waterford,
Wexford, Wicklow
• South West Region 1890 222 425
Clare, Cork, Kerry, Limerick
If you are calling from outside the Republic of Ireland, please telephone +353 (1) 702 3011.
Alternatively, you can visit www.revenue.ie
Accessibility: If you are a person with a disability and require this form in an alternative format the
Revenue Access Officer can be contacted at accessofficer@revenue.ie